Title

Improving Sepsis Outcomes in a Community Hospital: A Ten-Year Performance Improvement Experience with Interventions, Bundle Compliance, Sepsis Mortality, and Costs

Document Type

Presentation

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Publication Date

5-19-2020

Comments

Presentation: 56:43

Abstract

The Surviving Sepsis Campaign International guidelines recommend that hospital systems have a performance improvement program for sepsis that includes sepsis screening for acutely ill high-risk patients, yet do not provide any guidance as to which approach should be recommended. The following ten-year retrospective review aims to address this problem. Results of an on-site, targeted, blended sepsis simulation educational program and study at a community hospital are compared to observations from a ten-year retrospective review of subsequent sepsis quality interventions. Healthcare providers participated in an online didactic, onsite simulation education program testing sepsis knowledge. Using a prospective baseline-follow-up quasi-experimental design with a historical comparison group to measure compliance and outcomes, 566 patients diagnosed with sepsis were studied using systematic random chart sampling. Administrative data on 1553 patients from the same period was used for cost and length of stay estimates. 308 healthcare providers participated in the education program. Findings revealed that staff knowledge and retention increased significantly from baseline (p

Language

English

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